- University of Rochester (Rochester, NY)
- … to obtain and verify insurance coverage. + Follows up on unpaid accounts working claims . + Reviews reasons for claim denial. + Reviews payer website or contacts ... payment and completes and documents follow up by resubmitting claim or deferring tasks. + Researches and calculates under...deferring tasks. + Researches and calculates under or overpaid claims ; determines final resolution . + Contacts payers… more
- University of Rochester (Rochester, NY)
- …insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent ... to the attention of billing Manager and Supervisor. The Claim Resolution Rep III...Insurance Coverage tab), review payer website, or contact payer representative as to why claims are not… more
- University of Rochester (Albany, NY)
- …of the individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE The Claims Resolution Representative III is responsible ... routine action to resolve unpaid claims . The Claims Resolution Representative III... claims submission and follow-up for review and resolution . 5% Collaborates with Claim Edit Specialists… more
- University of Rochester (Albany, NY)
- … to obtain and verify insurance coverage. Follows up on unpaid accounts working claims . Reviews reasons for claim denial. Reviews payer website or contacts payer ... claim or deferring tasks. Researches and calculates under or overpaid claims ; determines final resolution . Contacts payers on incorrectly paid claims… more
- Canon USA & Affiliates (Melville, NY)
- **About the Role** Canon USA in Melville, NY is seeking an Account Relations Representative III ( Representative , Acct Rels III ). The individual will be ... Coordination, System Support, Contract Coordination, managing sales funds, validating claims , issuing credits and Business Process Improvement and Problem Solving… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Interacts with Operations, Enrollment and Billing, Customer Care, Claims , Advocacy, Clinical Operations, Medical Affairs and Finance/Underwriting Departments ... business needs while taking ownership and accountability for issue identification and resolution . Level II (in addition to Level I Accountabilities) * Assists with… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …require coming into the Rochester, NY office. The LTC Customer Service Representative resolves customer inquiries via telephone, mail, fax, and email concerning, but ... not limited to, policy benefits, claim payments, benefit reductions and billing. The LTC Customer...payments, benefit reductions and billing. The LTC Customer Service Representative provides service for customers and business partners while… more
- City of New York (New York, NY)
- …of repair jobs to vendors. Identifies problems in construction and seeks their resolution . Prepares shop orders, the scope of work, routine specifications, and cost ... compiles contract and project documentation bearing on these dispute claims . - Acts as liaison with the community and...activity on the construction site, acts as the City's representative in the filing of complaints with the Police… more